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2 The British Society for Haematology recommends intramuscular vitamin B 12 for severe deficiency and malabsorption syndromes, whereas oral replacement may be considered for patients with asymptomatic, mild disease with no absorption or compliance concerns

Because it works at the cellular level restoring NAD+ so fat cells become metabolically active again changes tend to be gradual and build over weeks, and they show up best alongside solid nutrition, training, and the rest of your plan